Augmentation enterocystoplasty for the management of voiding dysfunction in spinal cord injury patients.
A total of 12 spinal cord injury adults underwent augmentation enterocystoplasty for treatment of a high pressure neurogenic bladder. These patients suffered from urinary incontinence, recurrent urinary tract infection, upper tract deterioration and severe autonomic dysreflexia. A sigmoid colon segment fashioned into a cup-patch was used in 11 patients and detubularized cecum was used in 1. The artificial urinary sphincter was implanted in 3 patients at augmentation enterocystoplasty and in 1 after enterocystoplasty. After a mean followup of 15 months all patients were continent on clean intermittent self-catheterization, the upper tract had remained stable or had improved and the symptoms of autonomic dysreflexia had disappeared. A third of the patients are on maintenance antibiotic therapy to control bacteriuria.
Sidi
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Department of Urologic Surgery, University of Minnesota Hospital and Clinic, Minneapolis.
Becher
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EF
Reddy
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Dykstra
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DD
D000328:Adult; D012809:Colon, Sigmoid / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D013119:Spinal Cord Injuries / Q000150:complications*; D001743:Urinary Bladder / Q000601:surgery*; D001750:Urinary Bladder, Neurogenic / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D014547:Urinary Diversion / Q000379:methods; D014549:Urinary Incontinence / Q000209:etiology / Q000601:surgery*; D014563:Urodynamics